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参合农民三级医院就医负担分析及启示——以四川省中江县为例

发布时间:2018-06-04 23:41

  本文选题:三级医院 + 就医负担 ; 参考:《医学与哲学(A)》2017年04期


【摘要】:以在三级医院住院的参合农民为研究对象,重点考察住院补偿与疾病经济负担,为制定卫生政策提供参考。以住院天数、患者年龄、自付费用为分组指标,通过组间比较分析发现,参合农民在三级医院住院,新农合补偿水平低,农民就医负担重,新农合和大病保险制度不同程度地降低灾难性卫生支出发生率,中年群体健康风险比较严重,老年群体疾病负担比较重。基于风险管理理论,将农民工纳入公共卫生服务,加强健康教育降低疾病发生率;新农合和医疗救助等保障政策向老年人倾斜,将年龄纳入补偿政策,防止老年贫困。
[Abstract]:In order to provide reference for making health policy, this paper focuses on the compensation of hospitalization and economic burden of disease, taking the rural residents hospitalized in tertiary hospitals as the research object. Taking the days of hospitalization, the age of the patients and the out-of-pocket expenses as the grouping indexes, the comparative analysis among the groups showed that the participating farmers were hospitalized in the tertiary hospitals, the compensation level of the NCMS was low, and the burden on the peasants to seek medical treatment was heavy. The incidence of catastrophic health expenditure was reduced to some extent by the new rural cooperative and major illness insurance system. The health risk of the middle-aged population was serious and the burden of disease was heavy among the elderly population. Based on the theory of risk management, migrant workers are included in public health services, and health education is strengthened to reduce the incidence of diseases.
【作者单位】: 成都中医药大学管理学院;四川省卫生和计划生育委员会基层卫生处;
【基金】:2016年四川省高校人文社科重点研究基地西南减贫与发展研究中心青年项目(SCP1605) 2014年四川省基层卫生事业发展研究中心重点课题(SJWF1407) 2013年四川省教育厅重点青年课题(13SA0175)
【分类号】:R197.1;F842.684;F323.89


本文编号:1979375

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